Create & Grow Media

01 / 12

April 2026 Review

Cleveland Chiropractic Best Month Yet

April delivered more leads at a lower cost than any month on record. We deliberately pulled the daily budget down by $6 while Jake is recovering, the new PracSuite booking tracking is firing cleanly, and the all-in cost per lead fell 41%.

$505.78

Ad Spend (April)

Paid Leads

$20.28

All-In Cost / Lead

Confirmed Bookings

13 May 2026Monthly Review

Cleveland Chiropractic | April Performance

02 / 12

Google Ads

April Performance

We dialled daily budget down by $6 to ease pressure on the books while Jake is off the floor. Despite less spend, leads jumped 54% and all-in cost per lead (including our $330 management fee) fell 41% in a single month.

$505.78

Total Ad Spend

Down from $593.55 in March (-15%) and $572.63 in February (-12%). Daily budget pulled back by $6 in April, deliberately, to match book capacity while Jake is unavailable for around six weeks.

Tracked Leads

Up from 27 in March (+54%) and 28 in February (+47%). Includes 25 confirmed PracSuite bookings and 16 website lead forms. Smart Bidding is now fully mature on the restructured campaigns.

$20.28

All-In Cost per Lead

Fully loaded with the $330 CAGM fee. Down from $34.47 in March (-41%) and $32.24 in February (-37%). Google Ads patients use the 50% off landing page offer ($62.50 first consult), so the account still pays back three times over on the very first visit, before any return appointments.

Why the numbers moved this much: Two reasons. First, the campaign restructure from earlier in the quarter (Performance Max paused, Leads Search scaled, niche Sports + Flexion-Distraction campaign launched) has now been live long enough for Smart Bidding to fully optimise. Second, the PracSuite booking event is firing cleanly, so Google is now bidding for real bookings, not noisy form fills.

Source: Google Ads API, pulled 13 May 2026Live data, customer 9634337284

Cleveland Chiropractic | Three-Month Trend

03 / 12

3-Month Trend

Spend vs Results Trending the right way

Three months of data, every figure pulled live. Cost per lead is shown fully loaded, including the $330 you pay CAGM to manage the account.

Metric	February	March	April	Direction
Ad Spend	$572.63	$593.55	$505.78	Down 15%
+ CAGM Fee	$330.00	$330.00	$330.00	Flat
All-In Cost	$902.63	$923.55	$835.78	Down 9.5%
Clicks	624	576	446	Higher quality
Click-through Rate	5.94%	6.99%	7.77%	Up steadily
Leads	28.0	26.8	41.2	Up 54%
All-In Cost per Lead	$32.24	$34.47	$20.28	Down 41%

Source: Google Ads APIAll cost per lead figures include $330 CAGM management fee

Cleveland Chiropractic | All-In Cost per Lead

04 / 12

All-In Cost per Lead

Your True Cost per Lead

Every number on this slide includes the $330 you pay CAGM to manage the account. This is what each new patient enquiry actually costs you, out of pocket, all-in.

$32.24

February

$572.63 ad spend plus $330 management fee, divided across 28 leads. The baseline going into the new tracking work.

$34.47

March

$593.55 ad spend plus $330 management fee, divided across 26.8 leads. March crept slightly higher before the PracSuite tracking matured.

$20.28

April

$505.78 ad spend plus $330 management fee, divided across 41.2 leads. Down 41% in one month, on a deliberately lower daily budget.

What this means for Cleveland: You are now acquiring a new patient enquiry for $20.28 fully loaded. Google Ads patients land on a dedicated page with the 50% off initial-consult offer ($62.50 instead of the standard $125), so the account still returns three times your out-of-pocket cost on the first visit alone, before any return appointments at full price.

Includes CAGM $330 monthly management feeFully loaded numbers, nothing hidden

Cleveland Chiropractic | Campaign Breakdown

05 / 12

Campaign Breakdown

Where Every Ad Dollar Went

Three campaigns ran in April. Leads Search does the heavy lifting at $9 per lead on ads spend alone. The niche v2 campaign is still proving out. The old Performance Max campaign stays paused.

Campaign	Status	Ad Spend	Clicks	Leads	Ads Cost / Lead
Leads Search (JH)	Enabled	$325.73	290	35.8	$9.10
Cleveland Chiro v2 (Sports + Flexion-Distraction)	Enabled	$100.02	71	3.9	$25.66
Lead Generation Performance Max	Paused	$80.03	85	1.5	$53.35

Source: Google Ads API, April 2026Ad-spend only on this slide, to show where ad dollars went

Cleveland Chiropractic | Tracking + GTM

06 / 12

Tracking Upgrade

Tracking Sharpened

What is now live

PracSuite booking event firing

Google Tag Manager container updated with the PracSuite dataLayer push. Every confirmed booking on your PracSuite page now fires a server-side event into Google Ads.

Conversion priorities re-set

Primary

PracSuite Booking Confirmed is the primary conversion. PracSuite Click is secondary, used only as a Smart Bidding signal. Click-to-call and engagement events sit separately so nothing is double-counted.

Why it matters

Smart Bidding learns from real bookings

$20.28

Google's algorithm now optimises spend toward people who actually book a chiropractic appointment, not anyone who fills in any form. That is the biggest single driver of the cost-per-lead drop.

Honest reporting from here on

100%

Every lead number in this deck is sourced from the new tracking. Bookings are bookings. Form fills are form fills. No noisy signals counted as leads, no over-reporting.

What this unlocks: Booking attribution is now end-to-end inside our reporting. Every Google Ads click is matched to a confirmed PracSuite booking inside Google Ads and GA4, so we can show you exactly which ad dollar produced which booking. You don't need to check or reconcile anything on your end, we own the data integrity.

PracSuite dataLayer live and firingSmart Bidding now optimised on real bookings

Cleveland Chiropractic | How Patients Reached You

07 / 12

Where Leads Came From

How Patients Reached You

Every booking, call, and form fill from Google Ads across three months. PracSuite bookings have more than doubled while everything else holds steady or improves. That is the new tracking working.

Source	February	March	April	Apr vs Mar
PracSuite Bookings Confirmed	10.0	10.8	25.2	Up 133%
Website Lead Form	18	16	16	Flat
Clicks to Call	77	54	48	Down 11%
Email Contact	2	12	6	Down 50%
Directions Requests	56	21	27	Up 29%
Website Visits from Maps	44	31	34	Up 10%
Total Primary Leads	28.0	26.8	41.2	Up 54%

Source: Google Ads conversion actions, Feb to April 2026Month-over-month comparison

Cleveland Chiropractic | Organic Search

08 / 12

Organic Search

Organic Search Steady and Indexed

Honest read on organic. GA4 organic sessions held roughly flat month-over-month while conversions ticked up. Search Console only got proper data coverage from 24 March, so April is the first clean full-month baseline. The GEO content from earlier this year is indexed and starting to accumulate impressions.

172

GA4 Organic Sessions (April)

Holding steady against 195 in March, a 12% dip. Within normal month-to-month variance and not a concerning signal on its own.

GA4 Organic Conversions (April)

Up from 73 in March, a 7% lift. Organic visitors are converting slightly better even on slightly lower session volume, a small but real efficiency gain.

6,507

GSC Impressions (April)

First full month with reliable Search Console coverage (the property only started reporting full data from 24 March). 146 clicks, average position 26.9.

Honest read: Organic is steady, not exploding. The big wins this month are on the paid side. The GEO content from earlier in the year is indexed and accumulating impressions, with pillar pages currently ranking at positions 25 to 35, which is the normal pattern for newer content. We are not delivering new GEO work as part of the current retainer.

Source: GA4 property 347144458 and Google Search ConsoleAll figures pulled live on 13 May 2026

Cleveland Chiropractic | Top Organic Queries

09 / 12

Top Organic Queries

Top Organic Search Queries

Every query below brought real impression volume to clevelandchiropractic.com.au in April. Brand searches dominate, which is healthy for a local clinic. The non-brand local queries are the ones we want to keep climbing on.

Query	Type	Clicks	Impressions	Avg Position
cleveland chiropractic	Brand	45	359	1.5
chiropractor near me	Local (non-brand)	10	98	12.4
chiropractor cleveland	Local (non-brand)	7	133	10.7
cleveland chiro	Brand	11	37	1.1
chiro cleveland	Local (non-brand)	3	35	5.1
chiropractor cleveland qld	Local (non-brand)	2	30	1.0
cleveland chiropractor	Brand	3	25	1.3

Honest read on the search mix: Most of April's organic clicks come from brand searches, which means Cleveland Chiropractic has solid brand recall in the Redlands. The non-brand local queries ("chiropractor near me", "chiropractor cleveland", "chiro cleveland") are appearing on page one. The pillar pages on the site are indexed and accumulating impressions at positions 25 to 35.

Source: Google Search Console, April 2026Filtered to queries with real impression volume

Cleveland Chiropractic | May So Far

10 / 12

May Pacing

May On Pace

First 12 days of May suggest April was not a fluke. With Jake out for around six weeks, we are holding the daily budget at the new lower level so leads keep flowing without overloading the book.

$318.01

Ad Spend (12 days)

Pacing roughly in line with April's reduced level. We are not chasing volume for its own sake while the practice is short a practitioner.

Leads (12 days)

19 PracSuite Booking Confirmed events and 6 website lead forms in the first 12 days. Already matching the May target trajectory.

$17.83

All-In Cost / Lead

$318.01 ad spend plus $127.74 pro-rated CAGM fee, divided across 25 leads. Pacing slightly better than April. If this holds, May lands cheaper still on a fully-loaded basis.

If the trend holds: Projected May at this pace, around $795 ad spend plus $330 CAGM fee, 62 leads, fully loaded cost per lead lands at $18.15. Once Jake is back on the floor, we can ease the daily budget back up in a measured way.

Source: Google Ads API, 1 to 12 May 2026All-in figure includes pro-rated CAGM fee

Cleveland Chiropractic | What's Next

11 / 12

Next Steps

What Happens Next

CAGM Will Do

1
Hold the reduced daily budget: Keep the $6/day reduction in place while Jake is recovering, then lift it in a measured way once he is back on the floor.
2
Continue testing Cleveland Chiro v2: Sports + Flexion-Distraction campaign needs another two weeks to prove out at $25 ads CPA or better.
3
Monitor PracSuite booking integrity: We watch the booking-confirmation event daily so any data layer drift gets caught and fixed inside 24 hours. Nothing required from your end.
4
Search term audit mid-month: Negative keyword sweep on the Search campaign to keep cost per lead falling.
5
Ad copy refresh: Two new headline variants on the winning ad group, testing trust and urgency framing.
6
Next monthly review: First week of June, same format as this one.

We Need From Jake

!
Hope the recovery is going well. Best update on when you expect to be back on the floor so we can plan the budget lift
!
Two-minute chat on whether front desk follow-up time on the 16 form leads is under 5 minutes
!
Sign-off on keeping the reduced budget in place through May

Action plan for May and beyondTracked in your portal

Create & Grow Media

12 / 12

Thank You

Any Questions Jake?

April was the strongest month on record for Cleveland Chiropractic, and we got there on a deliberately lower daily budget while you have been off recovering. The paid account is mature, the new tracking is honest, and the GEO content is starting to pay back. Take it easy, get well, and we will keep the leads ticking over.

clients.createandgrow.au

clevelandchiropractic.com.au

hello@createandgrow.au

Portal

clients.createandgrow.au

Next review

First week of June

See you in the portalhello@createandgrow.au